NPI | 1407314669 |
---|---|
Former Name | ALLISON RENEE HEINRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95021129) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN272584) |
Enumeration Date | 2019-03-06 |
Last Update Date | 2022-09-30 |